Active NPI
Hao A. Ly, MD
- Emergency Medicine Physician
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD450962
- Practice address
- 421 S Main St
Crossville, TN 38555-5048 - Phone
- (931) 484-9511
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29369 | TN | |
| Emergency Medicine Physician | 207P00000X | MD450962 | PA | Primary |
Addresses
Primary practice location
421 S Main St
Crossville, TN 38555-5048
Mailing address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Other practice location 1
32 Central Avenue
Wellsboro, PA 16901-1840
Phone (570) 723-7764
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3812851 | Medicaid | TN | |
| 3073524 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| P00231561 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.37 of 100
- Quality
- 86.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 44.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29369 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| MNR Industries, LLC | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
215 E Water St
Muncy, PA 17756
Phone (570) 327-8137
175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Interoperability endpoints
- hao.a.ly@upmcdirect.com
- hly157652@upmc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1861437378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 CENTERPOINT BLVD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555048",
"telephone_number": "931-484-9511"
}
],
"practiceLocations": [
{
"address_1": "32 Central Avenue",
"address_purpose": "LOCATION",
"city": "Wellsboro",
"state": "PA",
"postal_code": "169011840",
"country_code": "US",
"telephone_number": "570-723-7764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "HAO",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2026-09-03",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "29369",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD450962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3812851",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3073524",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00231561",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.